Spontaneous abortion embryonic pathological examination

Written by Zhang Lu
Obstetrics
Updated on September 12, 2024
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After a natural miscarriage, pathological tests can be performed on the embryonic tissue. The main purposes of these tests include the following two aspects: First, to check if the chorionic villi in the embryonic tissue are edematous or if it is a hydatidiform mole. In cases of natural miscarriage, if it is a hydatidiform mole, it is necessary to determine whether it is a benign or malignant hydatidiform mole. If it is not a hydatidiform mole, it can be treated as a regular miscarriage. Secondly, testing the embryo can clarify the reasons for the miscarriage, such as checking the chromosomes of the embryo to determine if there are any issues with the chromosomes, which can be informative for the next pregnancy.

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Written by Zhang Lu
Obstetrics
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If at ten days pregnant, you determine through blood tests or urine tests that you are indeed pregnant and do not wish to continue the pregnancy, hoping for a natural miscarriage is not advisable. Natural miscarriage refers to the spontaneous expulsion of the gestational sac from the uterine cavity. In clinical practice, a natural miscarriage is something that can only be encountered, not sought after, as it occurs naturally and cannot be influenced externally. It primarily happens due to poor quality of the gestational sac. Since a natural miscarriage may or may not occur, if you do not wish to continue the pregnancy, waiting it out is not significantly beneficial. Instead, it is advisable to opt for medical intervention to terminate the pregnancy as soon as possible.

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Written by Du Rui Xia
Obstetrics
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How long after a natural miscarriage can one have sexual intercourse?

After a natural miscarriage, it is generally advisable to abstain from sexual intercourse for at least one month. Following a natural miscarriage, there are wounds inside the uterine cavity that need to heal through a restoration process continuously repairing the endometrium. Engaging in sexual intercourse too soon can increase the risk of infection. One month after a miscarriage, with a doctor's guidance and upon confirming that the body has recovered well through examinations, sexual intercourse can be resumed. Within the first month, it is crucial to prohibit sexual activities, including sitz baths and swimming, to reduce the chances of infections. Post-surgery, there should also be appropriate advisement. Both partners must take this matter seriously to avoid impacting future health.

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Written by Du Rui Xia
Obstetrics
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Can you smoke after a natural miscarriage?

After a natural miscarriage, it is best for women not to smoke, as smoking is an unhealthy lifestyle habit that can reduce a woman's body resistance. After a miscarriage, a woman’s body is relatively weak, and smoking could possibly induce infections, such as gynecological inflammation. After the miscarriage, it's important to avoid smoking and ensure rest, adequate sleep, enhanced nutrition, and intake of foods rich in protein and vitamins. It is also essential to drink plenty of water and maintain a positive mood. After the miscarriage, one should avoid heavy physical labor and spicy, stimulating foods to ensure a good mood and promote physical recovery.

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Written by Du Rui Xia
Obstetrics
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Can a natural miscarriage be completely cleared?

After a natural miscarriage, whether it can be completely cleared varies from individual to individual. Some women may have a complete miscarriage naturally. However, some people may have existing gynecological inflammation or be relatively weak, which can lead to incomplete miscarriage, necessitating further uterine cleaning. After the miscarriage, women should closely monitor their vaginal bleeding and abdominal pain. Normally, after such a miscarriage, abdominal pain should last about two to three days, and vaginal bleeding should clear up within a week. If vaginal bleeding persists for a longer time and abdominal pain occurs, the possibility of residual materials in the uterine cavity should be considered, and it is advised to go to the hospital for further ultrasound examination and subsequent treatment as needed.

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Written by Yue Hua
Obstetrics and Gynecology
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How to clean the uterus after a natural miscarriage

Most patients with natural miscarriages do not need uterine cleaning, as these patients usually have short pregnancy durations and the embryo expels itself. At this time, it is necessary to visit a hospital for an ultrasound to check the condition of the uterine cavity. Most women generally have nothing remaining in their uterine cavity. If there are some small amounts of residual embryonic tissue, one can take some blood-activating and stasis-resolving medications, and then strengthen uterine contractions to expel such tissues. A week later, a hospital check-up can generally confirm that the uterine cavity is quite clean, hence, uterine cleaning is not needed for a natural miscarriage.